Billing and Coding: Routine Foot Care

Routine foot care is billable only when it meets CMS Pub 100-02, Ch.15 §290 criteria; services lacking documentation of medical necessity or not meeting those criteria may be denied. Key requirements: clinical records must show provider-rendered care was medically necessary (hazardous if not provided), for certain flagged diagnoses include the diagnosing MD/DO’s name and approximate last visit, billing must follow CMS Part A/B (and Noridian JF Part B) instructions, and any certified physician or NPP may provide the care within state licensure.